Organization Active NPI

Louis V. Angioletti Jr. M. D., P. a.

  • Ophthalmology Physician
  • Fort Lee, NJ
National Provider Identifier
1255330593
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LOUIS V. ANGIOLETTI JR. M. D., P. A.
Practice address
1617 Palisade Ave
Fort Lee, NJ 07024-6930
Phone
(800) 214-8140
Fax
(201) 947-1902
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Louis V Angioletti Jr., M.D.
Title
President
Phone
(800) 214-8140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NJ Primary

Addresses

Primary practice location

1617 Palisade Ave
Fort Lee, NJ 07024-6930

Mailing address

1617 Palisade Ave
Fort Lee, NJ 07024-6930
Phone (800) 214-8140

Other identifiers 2

IdentifierTypeStateIssuer
01370034MedicaidNY
2818809MedicaidNJ

Other names 1

  • Angioletti Retina Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1617 Palisade Ave
Fort Lee, NJ 07024
Phone (201) 947-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255330593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246930",
            "telephone_number": "800-214-8140",
            "fax_number": "201-947-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246930",
            "telephone_number": "800-214-8140",
            "fax_number": "201-947-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS V. ANGIOLETTI JR. M. D., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANGIOLETTI",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-214-8140",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01370034",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2818809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angioletti Retina Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.